Otávio Amaral de Andrade Leão
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Mariângela Freitas da Silveira
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Marlos Rodrigues Domingues
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Joseph Murray
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Nelson Arns Neumann
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Abstract
Background: The first years of life are the most important for human development, which is influenced by diverse factors, such as childcare attendance. Yet, little is known about the longitudinal influence of childcare in diverse domains of development. The aim of the present study was to assess the development and to measure potential influences of childcare attendance in two-year-olds from the 2015 Pelotas (Brazil) Birth Cohort Study. Methods: The present study used longitudinal data from the 2015 Pelotas Birth Cohort. Childhood development at two-year-olds was assessed throughout INTER-NDA (INTERGROWTH-21st Neurodevelopment Assessment). Childcare attendance was measured at ages 1 and 2 years old and categorized as: a) never went to childcare; b) attended some childcare (either at 12 or 24 months); c) always attended childcare (both 12 and 24 months). Demographic, socioeconomic, health, and child stimulation variables were considered as confounders. Crude and adjusted analysis of childcare attendance and early childhood development were performed using linear regression. Results: Among the 3,870 infants included in the analyses, around 2/3 never went to childcare. In the crude analyses, any exposure to childcare was positively associated with development, except for in the motor domain. It was also perceived a trend positive association and higher mean values for the always category. In the adjusted analyses only children who always went to childcare had higher development scores in the total (β: 0.17, 95% CI: 0.06; 0.28), cognitive (β: 0.10, 95% CI:-0.003; 0.21) and language (β:0.10, 95% CI:-0.003; 0.21) domains, even after adjustment for stimulation variables. Conclusions: This study suggests that childcare may help improve early childhood development. The association was particularly strong for the total global development domain, even after adjusting for stimulation, but there was no association with motor development. Considering the low prevalence of children in childcare, and that it may support child development it is recommended to improve childcare opportunities in early childhood.